- Discussion:
- it is important that the injection site be at distance proximal to site of injury;
- if this cannot be performed w/ ease, retrograde axillosubclavian
technique should be utilized;
- insertion of needle into
brachial artery is facilitated by immobilizing
artery against humerus;
- because of the size of the artery, its important to stabilize position
of needle during the rapid hand injection;
- complications:
-
axillary artery is enclosed w/ axillary vein and multiple nerves
in a relatively inelastic neurovascular bundle;
- relatively small amounts of bleeding within the sheath may cause
nerve compression syndrome;
- thrombus may be extracted using a balloon catheter;
Papers of the Society for Clinical Vascular Surgery: Scientific
Papers: An Experience with Upper-Extremity Vascular *Trauma.*
Year Book: Upper Extremity Arterial Injury in Athletes.
Year Book: Management of Arm Arterial Injuries.
